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A survey reveals widespread dissatisfaction with the US healthcare system, with concerns about access, coordination, wastefulness, administrative hassles, and medical errors. Support for greater accessibility, coordination, and information technology is strong.
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Exhibit 1. Majority of Americans Say the Health Care SystemNeeds Fundamental Change or Complete Rebuilding Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
Exhibit 2. Access Problems: More Than Two of Three AdultsHave Difficulty Getting Timely Access to Their Doctor Percent reporting that it is very difficult/difficult: Getting an appointment with a doctor the same or next day when sick, without going to the emergency room Getting advice from your doctor by phone during regular office hours Getting care on nights, weekends, or holidays without going to the emergency room Any of the above Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
Exhibit 3. Poor Coordination of Care Is Common,Especially If Multiple Doctors Are Involved Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
Exhibit 4. Medical Errors Are Common Percent reporting in past two years: You or a family member ended up with an infection or complication as a result of medical care Surgical or medical error or mistake, including wrong drug dose or lab results Either/both of the above Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
Exhibit 5. Potential Waste and Inefficiency: More Than Half of Adults Experience Wasteful and Poorly Organized Care Percent reporting in past two years: Doctors ordered a testthat had already been done Time spent on paperwork related to medical bills and health insurance a problem Health care system poorly organized Any of the above Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
Exhibit 6. Administrative Hassles Related to Medical Bills and Insurance Are Serious Problems for More Than a Quarter of Adults Percent reporting serious problems spending time on paperwork or disputes related to medical bills and health insurance in past two years 34 26 23 Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
Exhibit 7. More Than One-Third of Adults Changed Their Health Insurance Plan Within the Past Three Years Percent reporting number of times health insurance plan changed in past three years Of those with health plan change in past three years, percent reporting: 47 35 17 Required to change physicians when changing health plans Health plan change was involuntary Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
Exhibit 8. Majority Support More Accessible, Coordinated,and Well-Informed Care Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
Exhibit 9. Widespread Support for Medical Homes Percent reporting importance of having one place/doctor responsible for primary care and coordinating care 93 94 93 93 93 92 94 89 U.S. region Political affiliation NE=Northeast; NC=North–Central; Dem=Democrat; Rep=Republican; Ind=Independent. Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
Exhibit 10. Support for Doctors Working in Teams and Groups to Improve Patient Care Percent reporting it is very important/important for improving patient care 86 65 Note: Subgroups may not sum to total because of rounding. Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
Exhibit 11. Strong Support for Use of Health Information Technologyto Improve Patient Care Percent reporting it is very important/important for improving patient care 92 88 Note: Subgroups may not sum to total because of rounding. Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
Exhibit 12. Few Adults Have Internet/E-Mail Access to Their Records or Doctors; Many Would Like It Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
Exhibit 13. Difficulty Paying Medical Costs Percent reporting in past two years: Problem paying medical bills Problem that insurance denied payment for medical care or did not pay as much as expected Either/both of the above Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
Exhibit 14. Three of Four Adults Are Worried About the Future Percent very or somewhat worried when looking into the future: Will not get high-quality care when needed Will not be able to pay your medical bills in the event of serious illness Either/both of the above Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
Exhibit 15. Majority Think Private Insurers and Public Payers Should Work Together to Negotiate Pricing and Improve Quality Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.
